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Preventing Hospital Overbilling
Recent Bills/Preventing Hospital Overbilling

Preventing Hospital Overbilling

IntroducedApril 24, 2025
In Senate1 year ago
Intro
House
Senate
Pres
Sitting in the Senate Energy and Commerce Committee.
Most bills stop at this point and never get a vote.
Health
More:Bills in the SenateHealthcareHouse Bills
Why This Matters

This bill aims to stop hospitals from charging more for services provided at off-campus locations than they would at their main facility. It helps ensure fair billing practices for Medicare patients.

If you use Medicare and visit an off-campus hospital department, your bills could be lower starting in 2026.
Who this affects
Medicare patients
What changes is this bill making?
  1. 1This bill changes how hospitals bill for services provided at off-campus locations.
  2. 2It ensures that off-campus departments are treated the same as other outpatient facilities.
  3. 3The bill requires hospitals to have separate identifiers for off-campus departments.
  4. 4It aims to reduce costs for Medicare by preventing overbilling.
  5. 5The changes will take effect starting January 1, 2026.
Read the detailed summary

Preventing Hospital Overbilling of Medicare Act This bill repeals certain exceptions to site-neutral payments with respect to Medicare payments to an off-campus outpatient department of a health care provider. It also requires providers to use separate, unique health identifiers when submitting a claim to a health insurance issuer for services provided at an off-campus outpatient department.

Read full document

Last changed 2 months ago · checked hourly

Bill Progress3 of 4
Bills must pass the House, Senate, and be signed by the President to become law.
Intro
House
Senate
Pres
IntroducedApr 24, 2025
Sponsors
See all 8 sponsors
House
SenateCurrent

Sitting in the Senate Energy and Commerce Committee.

Most bills stop at this point and never get a vote.

President

The President

Donald Trump
President
Awaiting Vote
Similar Bills
House Bill · HR 7666
1 of 4 · Introduced
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Senate Bill · S 551
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Hospital Payment Adjustment Bill
Ensuring Outpatient Quality for Rural States Act
·Healthcare
House Bill · HR 7863
1 of 4 · Introduced
Medicare Payment Adjustment Bill
Promoting Fairness for Medicare Providers Act of 2026
·Healthcare